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Questions and Answers
What characteristic defines an effective follower according to Kelley’s Model of Followership?
Which of the following best exemplifies the 'art' aspect of nursing?
What is a primary characteristic of 'sheep' followers in Kelley’s Model?
Which nursing practice aspect requires the collection of objective data?
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What does the term 'managing up' refer to in a professional context?
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Which tactic for managing up involves providing assistance before requests are made?
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What is one key element of viewing the leader realistically?
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Which action is associated with helping a leader to be effective?
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What is an important activity when building a relationship with your leader?
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What does the Great Man Theory posit about leaders?
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What is considered the best level of evidence for answering a clinical question?
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Which of the following is NOT a symptom of burnout?
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Which factor is important in getting clinicians to adopt evidence-based practice changes?
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Which strategy is an effective prevention method for burnout?
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What leadership responsibility helps to prevent burnout in the workplace?
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What is the primary focus of strategic leadership?
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Which leadership style involves shared decision making among group members?
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Which of the following best describes 'Task behavior' in leadership?
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What does cognitive competency in leadership primarily involve?
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Who is primarily responsible for carrying out the vision in a tactical leadership capacity?
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What change must a leader be able to make when presented with a better mental model?
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What characterized the initial provision of nursing care in history?
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Which leadership behavior focuses on how a leader communicates and reacts in situations?
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Which of the following best describes the skill of active listening in leadership?
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Which communication mode is considered to have the highest risk of miscommunication?
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What does the DESC communication tool help an individual to do?
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What is one of the three enhancers of nursing autonomy?
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Which of the following denotes a detractor to nursing autonomy?
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Which strategy is recommended for bridging cultural differences in communication?
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What is the primary importance of hourly rounding in patient care?
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In Evidence-Based Practice (EBP), what is NOT one of the three components that must be considered?
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Study Notes
Definition of Leadership
- Leadership involves an influence relationship between leaders and followers aimed at achieving shared purposes and outcomes.
Leadership Concepts
- Mental Model: Framework shaping thoughts, actions, interpretations of experiences, and reactions to others; leaders must adapt when new models arise.
- Task Behavior: Focuses on executing specific tasks or actions ("Doing").
- Relationship Behavior: Emphasizes interpersonal dynamics and the emotional climate ("Being").
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Leadership Competencies:
- Cognitive Competency: Skill in diagnosing and comprehending situations.
- Behavioral Competency: Ability to adapt and react effectively to situations.
- Process Competency: Proficiency in communication and response to circumstances.
Leadership Styles
- Autocratic Style: Decision-making is centralized with the leader; characterized by directive instructions ("Do X").
- Laissez-faire Style: Minimal direction from the leader; allows for individual freedom in completion of tasks.
- Democratic Style: Decisions are made collaboratively, focusing on group input and teamwork.
Strategic vs. Tactical Leadership
- Strategic Leadership: Broad focus on organizational direction (e.g., Chief Nursing Officer).
- Tactical Leadership: Concentrates on short-term implementation of strategies (e.g., Nurse Managers).
History of Nursing
- Origins of Nursing: Historically provided by uneducated women in home settings; care transitioned to institutional settings run by religious organizations.
- Modern Nursing Development: Florence Nightingale is credited with establishing contemporary nursing practices.
- Nursing as an Art: Involves therapeutic relationships, empathetic communication, and creative patient care.
- Nursing as a Science: Grounded in theory, objective data collection, research, and critical thinking.
Followership
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Types of Followers (Kelley's Model):
- Sheep: Passive and dependent thinkers.
- Alienated: Independent thinkers but passive in engagement.
- Effective: Active and independent critical thinkers.
- Yes People: Active but dependent thinkers.
- Survivors: Exhibit mixed traits.
- Managing Up: Developing a respectful, task-oriented relationship with a supervisor.
Tactics for Managing Up
- Being a Resource: Anticipating leaders' needs and showcasing personal strengths.
- Viewing Leaders Realistically: Acknowledging imperfections while maintaining respect.
- Helping Leaders Succeed: Seeking guidance and providing constructive feedback.
- Building Relationships: Establishing trust through casual interactions in addition to work-related ones.
Leadership Theory
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Major Leadership Phases:
- Great Man Theory: Leaders are naturally born with traits that define leadership.
- Trait Leadership Theory: Focuses on non-verbal communication skills.
- Important Leadership Skills: Adaptability, active listening, transparency, clarity, open-ended questioning, empathy, body language awareness, feedback utilization.
- Cultural Communication: Awareness and flexibility are essential for effective intercultural interactions.
Effective Communication
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Preferred Communication Methods:
- Face-to-face: Low risk of miscommunication.
- Phone, Email, Text: Increased risk of confusion, especially with text.
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Communication Tools:
- SBAR: A structured method for conveying information (Situation, Background, Assessment, Recommendation).
- CUS: Highlights concerns about safety (Concerned, Uncomfortable, Safety hazard).
- DESC: Framework for discussing issues (Describe, Express, Suggest, Consequences).
Nursing Autonomy
- Definition: The ability to provide care based on one's professional knowledge and judgment, allowing for independent decision-making.
- Enhancers of Autonomy: Supportive management, education, and experience.
- Detractors of Autonomy: Autocratic leadership styles, physician control, and excessive workload.
Evidence-Based Practice (EBP)
- Definition: A healthcare approach integrating the best evidence, patient values, and clinical expertise.
- Components: High-level evidence, patient preferences, nurses’ experience.
- Evidence Pyramid: Meta-analysis provides the highest level of clinical evidence.
- EBP Question Components: Population, Intervention, Comparison, Outcome, Time.
- Adoption Keys: Strong evidence, need for change, perceived advantages of the change.
Stress and Burnout
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Difference:
- Stress: A negative emotional experience stemming from challenges.
- Burnout: Physical and emotional exhaustion after prolonged stress.
- Triad Symptoms of Burnout: Emotional exhaustion, mental disassociation, cynicism, and physical fatigue.
- Burnout Prevention Strategies: Effective time management, seeking support, reflecting, discussing experiences, promoting education, and managing workload.
- Leadership Responsibilities: Managing workload, emphasizing work significance, empowering staff, encouraging social interactions, enforcing breaks, and fostering a healthy work culture.
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Description
This quiz focuses on key concepts of leadership as defined in Module 1. You'll explore the relationship between leaders and followers, understand the role of mental models in shaping actions and interpretations, and prepare for Test #1. Dive into the essential elements that drive effective leadership and its impact on shared goals.
